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Contact Information

VITALIS VENTURES LLC
3330 N 2ND ST STE 401
PHOENIX, AZ85012-2371
 Phone: 602-606-9619
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Health Service

261QH0100X
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for VITALIS VENTURES LLC · (Female)

NPI Number 1144038035
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2024
Last updated 01/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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